血压对脑梗死患者生存状况的影响

The survival status of the acute phase of blood pressure on patients with cerebral infarction

目的研究血压对急性期脑梗死患者生存状况的影响。方法对2013年1月至2015年6月在本院神经内科住院治疗的脑梗死急性期患者进行血压监测,将患者分组为勺型组、非勺型组、超勺型组、反勺型组,从中随机选择120例,每组30例,然后对4组患者进行临床治疗,3个月之后对4组的美国国立卫生研究院卒中量表(NIHSS)评分、巴塞尔指数(Barthel)评分、临床疗效进行对比分析。结果在治疗3个月后,勺型组、非勺型组、超勺型组、反勺型组的NIHSS评分分别为(1.2±0.8)、(4.2±1.8)、(4.3±1.5)、(4.5±1.3)分,勺型组患者的NIHSS评分明显较其他3组低,差异有统计学意义(P<0.05);勺型组、非勺型组、超勺型组、反勺型组的Barthel评分分别为(95.1±9.8)、(77.2±18.2)、(77.9±19.1)、(78.1±17.9)分,勺型组患者的Barthel评分明显较其他3组高,差异有统计学意义(P<0.05);勺型组、非勺型组、超勺型组、反勺型组患者治疗的总有效率分别为92.75%、79.23%、77.98%、75.92%,勺型组患者的总有效率明显较其他3组高,差异有统计学意义(P<0.05)。结论急性期脑梗死患者血压昼夜节律变化稳定,有利于患者神经功能和自理能力的恢复,但变化异常会严重影响到患者的临床治疗效果,而且不利于患者神经功能和自理能力的恢复。

Objective To study the impact on the living conditions of acute blood pressure in patients with cerebral infarction.Methods The acute phase of cerebral infarction patients were treated with blood pressure monitoring who were in our hospital neurology hospitalization from January 2013 to June 2015,after that,these patients were grouped into dippers group,non-dippers group,ultra-dipper group and anti-dipper group,then 120 cases were selected from those patients,30 cases in each group,and the four groups of patients were treated with clinical treatment,after three months,four groups of NIHSS score,Barthel score,clinical efficacy were analyzed.Results Three months after treatment,NIHSS score of dipper group,non-dipper group,ultra-dipper group,anti-dipper group were（1.2±0.8）,（4.2±1.8）,（4.3±1.5）,（4.5±1.3）,dippers group of patients with NIHSS scores were significantly lower than the other three groups,the difference was statistically significance（P〈0.05）;Barthel score of dippers group,non-dipper group,ultra-dipper group,anti-dipper group were（95.1±9.8）,（77.2±18.2）,（77.9±19.1）,（78.1±17.9）,Barthel score of dippers group was significantly higher than the other three groups,the difference was statistically significance（P〈0.05）;the total effective rate of dipper group,non-dipper patients,ultra-dipper group,anti-dipper group were 92.75%,79.23%,77.98%,75.92%,the total effective rate of dipper group was significantly higher than the other three groups,the difference was statistically significant（P〈0.05）.Conclusion Acute phase of cerebral infarction patients with stable blood pressure circadian rhythm changes,which is in favor of neurologic recovery and self-care ability,but such anomalies can seriously affect the clinical outcome of the patient,and is not conducive to nerve function and self-care ability of patients to recover.